Individual
DR. ESTELA (ESTELITA) M LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY. D.
Contact information
Practice address
4020 SUN CITY CENTER BLVD., SUITE 11, SUN CITY CENTER, FL 33573-5256
(813) 634-4700
(813) 634-4703
Mailing address
934 CYPRESS VILLAGE BLVD, STE A, RUSKIN, FL 33573-6832
(813) 634-4700
(813) 634-4703
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 6533
FL
Other
Enumeration date
02/01/2007
Last updated
09/17/2016
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